| Valley Internal Medicine, Inc. | |
|
2149 Valleygate Dr Suite 102 Fayetteville NC 28304-3666 | |
| (910) 484-5366 | |
| (910) 484-5377 |
| Full Name | Valley Internal Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2149 Valleygate Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Abu N Salahuddin (ADMINISTRATOR) |
| Authorized Official Contact | 9104845366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Internal Medicine, Inc. 2149 Valleygate Dr Suite 102 Fayetteville NC 28304-3666 Ph: (910) 484-5366 | Valley Internal Medicine, Inc. 2149 Valleygate Dr Suite 102 Fayetteville NC 28304-3666 Ph: (910) 484-5366 |
| NPI Number | 1528011137 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 02/23/2011 |
| Medicare PECOS PAC ID | 1658331327 |
|---|---|
| Medicare Enrollment ID | O20041016000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528011137 | NPI | - | NPPES |
| 89011VU | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammed A Hannan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417906520 PECOS PAC ID: 7618980608 Enrollment ID: I20060714000233 |
| Provider Name | Abu N Salahuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376596965 PECOS PAC ID: 4385830454 Enrollment ID: I20101201000679 |
| Provider Name | Helen Young Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487264370 PECOS PAC ID: 6800264748 Enrollment ID: I20221123002606 |
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